Even those in mid-career can benefit from additional training, he added. “For faculty, they need to learn how to come to grips with the fact that they might be struggling because they don’t understand reimbursement changes that come with the Affordable Care Act or understand what to do with the concept of population health,” he said. While some may opt to earn a formal degree in leadership, there are many different courses and literature available that can help physicians understand exactly how to work with healthcare changes. In his department at Vanderbilt over the last five years, Dr. Eavey said that six faculty/staff members have matriculated for an MBA equivalent in healthcare management, two have earned master of public health (MPH) degrees, one has earned a master’s degree in technology transfer, one has earned a doctorate of education, one has earned a doctor of nursing practice degree, and several more individuals are expected to earn other formal degrees. Others have opted for shorter courses in business, decision making, public health, and quality to help physicians understand how to work with and lead healthcare changes.
“There are skills they can get that they will need in the future,” he said. In the past, he added, doctors often looked at the end of their residency as a time when they’d join a practice and their career management would reach a steady state. “But we are now experiencing that there is no longer a steady state: There will be a need for supplemental skills,” he said. “They will help you as you move forward, and you’ll be training and refreshing for the rest of your life.”
Volunteering for Change
For others, taking on leadership roles in professional organizations offers a chance to polish managerial skills while helping to give back to the profession. Stacey Ishman, MD, MPH, surgical director of the Upper Airway Center and an associate professor of otolaryngology-head and neck surgery at the Cincinnati Children’s Hospital Medical Center at the University of Cincinnati in Ohio, has held numerous positions for a variety of associations, including the International Surgical Sleep Society, the American Society of Pediatric Otolaryngology, and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), for which she is currently a nominee for the board of governor’s chair.